Displaying 219091-219100 of 1611142 results.
ID:
219091
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1867544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219092
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219093
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001439
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219094
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219095
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219096
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219097
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219098
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219099
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666545
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219100
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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